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  1. 1. THE LEEDS TEACHING HOSPITALS NHS TRUST LEEDS DENTAL INSTITUTE JOB DESCRIPTON: SPECIALIST REGISTRAR IN RESTORATIVE DENTISTRY BACKGROUND This is an established full time NHS post with Leeds Teaching Hospitals NHS Trust. THE CITY OF LEEDS AND SURROUNDING AREA Leeds is the fastest growing city in the UK and home to over three-quarters of a million people. It is located in the heart of the UK and is the regional capital of Yorkshire and the Humber. It is unrivalled in the north of England as a major shopping destination and centre for the arts, entertainment, nightlife and leisure. The city has a rich cultural heritage with a wide range of theatres, cinemas, museums and art galleries and a thriving music scene to cater for all tastes. Leeds has a proud sporting tradition and there are plenty of opportunities to participate at all levels. Home to some of the UK’s and Europe’s leading companies, Leeds has seen the fastest rate of growth in terms of job creation in the UK over the last two decades. It is the main centre for the regional headquarters of government departments and utilities providers and the National Health Service. It is also recognised as a major centre for financial services and is the top legal and media centre in the UK outside London. Leeds has excellent communication and transport links. The city is well served by affordable, frequent local transport and has extensive coach and rail services connecting Leeds with the rest of the UK. Leeds/Bradford airport provides regular flights to an increasing number of destinations. Large areas of parkland make Leeds a very green city. There are many areas of natural beauty and interest in Leeds from the national attractions of the Royal Armouries and the Thackray National Medical Museum, to the fine mansions of Harewood House, Temple Newsam and Lotherton Hall. Leeds is also within easy reach of the Yorkshire Dales, the Peak District, the Lake District, the North Yorkshire Moors and historic towns such as York, Harrogate, Ripon and Bradford. Rich in history, with a diverse economy, thriving cultural scene and a cosmopolitan atmosphere, Leeds stands proud as a city of regional, national and international importance. Good public and private schools are available and house prices are reasonable. MERGER OF THE TWO ACUTE TRUSTS IN LEEDS The Leeds Teaching Hospitals NHS Trust came into existence on 1 April 1998, and has approximately 15,000 staff employed over various sites: Chapel Allerton Hospital St James’s University Hospital Leeds Chest Clinic Seacroft Hospital Leeds Dental Institute Wharfedale General Hospital Leeds General Infirmary 1
  2. 2. Combined, these sites house 3,215 beds and provide a range of general, acute and elective services, together with a significant number of regional and supraregional specialities. The creation of a single Trust for Leeds and the reconfiguration of acute hospital services, represented a unique opportunity for the city to become home to one of the leading health care institutions in the world, excelling in health service delivery, teaching and research. The Trust has provided improvement in the access and delivery of healthcare within a tight financial framework. The building of a stronger and enhanced centre for clinical excellence together with greater research, teaching and learning opportunities has also been created in partnership with the University of Leeds and Leeds Metropolitan University. The Trust Operational Structure The Trust Chief Executive is Maggie Boyle. There are 5 different operational divisions, each with their own divisional general manager. The Leeds Dental Institute is a Directorate within the Women’s, Children’s, Head, Neck and Dental Division. Leeds Dental Institute (LDI) The Dental Institute, established on 1 April 1992, integrated the Dental Hospital at Leeds and the University of Leeds, School of Dentistry. The Dental Hospital is situated on the ground floor of the Worsley Medical and Dental building which also accommodates the Dental School, the Medical School and the University of Leeds Health Sciences Library. It is situated on the southern side of the University campus half a mile from the city centre. The Dental Institute has a Director and Dean of the Dental School, Dr M Kellett, who is accountable to a Board of NHS and University governors. The Institute’s departmental structures are currently being redeveloped. The unified management and professional staffing arrangements within the Institute reflect the objectives of: • providing a clinical service • providing undergraduate, postgraduate and auxiliary education and training • pursuing research Since 2003, the LDI has been undertaking a period of rapid expansion and transformation. Outreach teaching clinics in Bradford and Leeds are now established and in 2010 a further unit in Hull will be completed. An ambitious refurbishment of the main LDI clinical area began in the September of 2008, and will include refurbishment of the undergraduate clinics, and the creation of a dedicated clinical area for Restorative staff (to include both individual surgeries and cubicles in an open clinic space) forming a Restorative Service Delivery and Training Unit. There will also be a Clinical Translational Research unit, which will enhance the recently extended and upgraded clinical skills and flat space teaching estate within the Worlsey building. These projects represent some £15M investment to deliver for the LDI a first class clinical and academic environment. 2
  3. 3. Clinical service improvements have been facilitated by a new Cone beam and digital imaging facility. Training of the dental team includes not only Undergraduate and Postgraduate Dental programmes, but also education for Dental Nurses, Dental technicians, Dental hygienists and Therapists offering vital team working experience. RESTORATIVE DENTISTRY Within Restorative Dentistry, there are out-patient clinics providing services in the clinical disciplines of operative, endodontics, periodontology, fixed and removable prosthodontics in an integrated fashion. Dental care is provided to in-patients in hospitals with the Trust when the need arises. All aspects of Restorative Dentistry are undertaken and comprehensive laboratory facilities are available. Consultant Staff: (Restorative Dentistry) NHS Consultant Staff Honorary Consultant Staff Mr MFW-Y Chan Consultant in Prof P Brunton Chair / Hon Consultant Restorative Dentistry, in Restorative Dentistry Training Programme Director, Lead Clinician for the Dental Implant Programme Dr M Kellett Dean/Director of Leeds Dr H L Craddock Senior Lecturer / Hon Dental Institute, Consultant in Consultant in Restorative Dentistry, Restorative Dentistry / Head of Periodontology Mr P J Nixon Consultant in Miss D L Gutteridge Lecturer / Hon Restorative Dentistry, Consultant in SHO educational Restorative Dentistry, supervisor, Lead for Postgraduate Tutor oncology service Dr L Morrow Consultant in Dr B R Nattress Senior Lecturer / Hon Restorative Dentistry, Consultant in Director of School of Restorative Dentistry, Dental Hygiene & Therapy Mr A F Speirs Clinical Director, Dr C J Watson Senior Lecturer / Hon Consultant in Consultant in Restorative Dentistry / Restorative Dentistry Head of Acute Dental Care Mr S Robinson Locum Consultant in Restorative Dentistry 3
  4. 4. Other NHS Staff Hospital 5 Specialist Registrars (including advertised post) 3 Senior House Officers 2 part-time Hospital Practitioners Academic Staff There is an expanding number of clinical academic staff across all the different disciplines within Restorative Dentistry. These range from, Senior Lecturers, Lecturers, Teaching Fellows and clinical tutors on both full and part-time contracts. There is also 1 Lecturer/Honorary Specialist Registrar in Restorative Dentistry Duties of the Post Clinical Most clinical sessions will be spent in the new Restorative Service Delivery and Training Unit. Treatment sessions within the areas of operative, endodontics, periodontics and prosthodontics will be carried out throughout the whole tenure of the post, according to a weekly rota (sample rota available). Clinical facilities are still being developed and will be excellent. Specialist Registrars will be expected to work together with the dental therapists/hygienists, dental nursing, technical and secretarial/clerical staff to ensure the smooth running of the Division and the highest quality of clinical service. Excellent clinical experience and training will be gained from participation in a wide variety of Consultant Clinics seeing patients referred by general dental practitioners and Consultant colleagues for a range of specialist advice and treatment. Under the supervision of the Consultants, Specialist Registrars are expected to attend to routine administration and correspondence with referring practitioners relating to patient care, in a timely fashion. There are regular Joint Clinics with Orthodontics, Paediatric Dentistry and Maxillofacial Surgery. There are weekly Oncology MDT Clinics at the Bexley Wing and the opportunity to attend Cleft Clinics within the Trust. A variety of Consultant Outreach Clinics are held at York and Scarborough District General Hospitals, with a recently developed link to the Restorative consultants at the Bradford Hospitals. Specialist Registrars have personal treatment sessions. Patients are treated under the supervision and direction of Consultant staff. There are generally 5 of these treatment sessions per week on average, with 3 of these having a dedicated consultant trainer present for supervision and training. This high level of trainer availability is a particular strength of this unit. If not engaged in treatment, the SpRs will join the Consultants or other SpR’s in the department to support the Clinical Service and enhance their training. 4
  5. 5. Clinical casemix Specialist Registrars treat patients allocated by the Consultant staff, which will cover the full range of procedures in operative dentistry, fixed prosthodontics and endodontics of a suitable complexity. Routine treatment for medically compromised patients is also a part of the post. During University vacations SpRs may occasionally be called upon to cover the Restorative/Conservation emergency clinic (“endo dresser clinic”). Specialist Registrars provide periodontal treatment on a longitudinal basis for patients allocated by Consultant staff, including patients with medical problems. Comprehensive non-surgical periodontal care is undertaken as well as a variety of surgical procedures, including the surgical placement of dental implants, ridge augmentation and grafting techniques. There is a responsibility to supervise the Staff Hygienist and also the Dental Hygiene and Therapy Students, as determined by the Head of Department and the Director of Hygiene & Therapy School and also to refer suitable patients to these DCPs. The Specialist Registrar’s will participate in the patient review clinics of the Hygiene & Therapy School. Specialist Registrars are expected to gain experience in a wide variety of removable prosthetic techniques and treat the more difficult conventional prosthetic cases. Experience will be gained in implant and oncology cases. Specialist Registrars may also engage in treating patients who may present as prosthetic emergencies and those referred by medical colleagues within the Trust. Research and academic The successful applicant will be expected to register with the University of Leeds for a taught master’s degree in Clinical Dentistry (Restorative Dentistry MSc). This will be undertaken on a three year part-time basis and self funded. This University degree is an integral part of the training and is expected to be completed before the end of the Specialist Registrar training programme. This will require completion of a series of course modules, including a core curriculum and various Restorative modules. Research activity is expected to lead to the presentation of a dissertation as part of the University of Leeds MSc. regulations. It is expected that the SpR will publish their research. Teaching The Specialist Registrar will gain experience of clinical teaching at undergraduate and postgraduate level. They will also contribute to the teaching of dental hygiene and therapy students. They will be required to contribute to the Departmental Seminars and Study/Journal Club. They will also gain experience in providing CPD for General dental Practitioners and DCPs. Clinical Audit / Effectiveness The Specialist Registrar will be required to participate in the clinical audit of departmental work and may work with other members of the dental team, under Consultant supervision. It is expected that the trainee will complete several audit projects and complete the audit cycle during the post. 5
  6. 6. TRAINING FACILITIES The post provides postgraduate experience and training recognised by the SAC for the purposes of the Specialty Examination in Restorative Dentistry and gaining a CCT in Restorative Dentistry. The post has educational approval from the Postgraduate Dental Dean and has been allocated a National Training Number. The excellent facilities of the Health Sciences Library are available within the building. Each of the Restorative SpRs has an allocated desk space with computer and phone access within a large office area shared with specialist trainees from other specialities. Study leave is available with permission from the appropriate consultants, provided adequate cover can be arranged and in accordance with the Whitley Council conditions. A wide range of postgraduate activities is available and the SpRs are expected to take part. SPECIAL FACILITIES Social amenities of the Hospitals and the University are available. CONDITIONS OF SERVICE The post is subject to the terms and conditions of service as laid down in the Whitley Council Medical and Dental handbook, copies of which can be seen in the Administration Department. The Hospital authority will require that you show evidence of Registration with the General Dental Council on taking up the appointment. The Hospital Authority will require medical examination and chest x-ray of the appointees (unless evidence of these can be provided from the last six months) and also evidence of a satisfactory Hepatitis B titre level. DATE WHEN POST IS VACANT: 1st Feb 2010 Informal inquiries should be made to Mr M F W – Y Chan. Arrangements for a visit to the Institute may be made once the short-listing process is complete via the Restorative Secretary (Melanie Thewlis: telephone 0113 3436277) Modified 28/11/09 MC/MT/SpR /fd 6